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PLEASE READ THE
OVERVIEW / INSTRUCTIONS BEFORE COMPLETING THE SCHOLARSHIP
APPLICATION. FAILURE TO FOLLOW THE INSTRUCTIONS WILL RESULT
IN DISQUALIFICATION.
(PLEASE PRINT OR
TYPE)
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NAME
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_________________________________
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____________________________________
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Last
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First
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MI
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MAILING ADDRESS
______________________________________________
CITY ____________________ STATE
________ ZIP ______ PHONE ______________
Name of school presently attending
_______________________________________
If in high school, give expected
date of graduation ______________ GPA _____
(Attach
transcript)
If in college, give year (freshman,
sophomore, etc.) _____________ GPA _____
(Attach
transcript)
Will you be enrolled full-time?
_____ Yes ______No
What is your major?:
__________________________
What is your minor?
________________________________
_____________
Please respond to
the following questions on a separate sheet / in a separate
document. Please number your responses to correspond to the
following:
1. For high school students, if you
have decided upon a college major, please indicate what area
you intend to study. If you have not decided on a major,
indicate your areas of interest and the types of classes you
would like to take.
2. (All Applicants) Please list any
classes you have taken in the visual or performance arts.
Please indicate when and where you took the class.
3.
(All Applicants) Please list any musical or theatrical
productions or visual art presentations in which you have
participated or performed during the preceding year. For each
performance, production, or presentation, please describe in
what capacity you participated (set design, musical
performance, role, etc.)
4. (All Applicants) Please list any
community service organizations with which you are involved
and community or volunteer services which you performed in
the preceding year. For each community service you performed,
briefly describe the volunteer activity, provide the name and
contact information for the individual who supervised your
service, indicate the dates of the service, and state the
number of hours that you worked on each project.
5. (All Applicants) If you were
employed during the preceding year, please list any employers
and indicate the number of hours you worked per week.
6. (All Applicants)
Please submit a 500 to 600 word essay in accordance with the
following:
High school students
shall submit an essay in which they discuss the importance of
the Arts or discuss an individual who has influenced or
inspired the student’s artistic endeavors. The essay
may discuss the Arts as they relate to society as a whole,
historical impact, or how they affect the applicant as an
individual. Continuing students (former CLOC scholarship
recipients) shall submit an essay describing their continuing
education plans including lessons they have learned during
their continuing education, personal insights, how they have
used any scholarship funds received, the role that financial
aid and scholarships have played in their education, and how
their educational plans have been impacted. All essays shall
be a minimum of 500 words with a 600 maximum word limit.
By signing below you affirm that all
of the information provided in your scholarship application
is true and correct.
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__________________________________
Signature
of Scholarship Applicant
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__________________________
Date
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